The use of the flexible multibody approach for lower body skeletal loading analysis

Skeletal loading can be estimated using several approaches. The most common approach is based on utilizing mechanical principles and ground reaction forces as predictors for skeletal loading. This method can be considered as a relatively simple approach since it cannot account for muscle forces. Flexible multibody approach allows forestimating skeletal loading and strains within the bones; once bone fexibility, muscle forces, ground reaction forces and the natural motion of a subject have been accounted for. This paper presents a summary that describes how deformable bodies can be introduced to the standard multibody formulation and explains the benefits and drawbacks. As an example of application, models used to assess tibial strains among two subjects are presented. The results of the multibody simulations are compared to in-vivo studies, showing acceptable correlation and method performance.